Victor Bernard Williams, M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

E-2372 Issued in AR

Practice address

9712 W Markham St
Little Rock, AR 72205-2124

Phone

(501) 280-0499

Fax

(501) 217-0222

NPI assigned

Oct 31, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General SurgeryAlso: Cardiovascular Disease (Cardiology), Thoracic Surgery, Vascular Surgery

Education

University of Arkansas College of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Surgical Associates of ArkansasGroup PAC ID 2365511003, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EDIFDD/Endpoint/EDIFDD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Surgical Associates of Arkansas

  • Specialist
  • Little Rock, AR
  • NPI 1538226923
  Medicare reassignment Care Compare group NPD Authorized official
• Precision Wound Management LLC

  • Internal Medicine Physician
  • Marion, AR
  • NPI 1922977255
  Medicare reassignment NPD
• Medical Office Force

  • Internal Medicine Physician
  • Athens, GA
  • NPI 1508378613

  AR

  Medicare reassignment NPD
• W L Rutledge MD PA

  • Family Medicine Physician
  • Little Rock, AR
  • NPI 1427297902
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1023009040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5589",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720785589",
            "telephone_number": "501-280-0499",
            "fax_number": "501-217-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9712 W MARKHAM ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052124",
            "telephone_number": "501-280-0499",
            "fax_number": "501-217-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "VICTOR",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "AR",
            "license": "E-2372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150104001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tristina Williams, LAC
• Tyler Williams
• Vallon Shanette Williams, AGNP-C
• Vern Lloyd Williams, CRNA
• Veronica Lynn Williams, M.D.
• Wendy Gayle Williams, APN
• William Curtis Williams, MD
• Wischelle Williams
• Adrian Williamson IV, MD
• Adrian Williamson III, MD

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.